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--------- - - - - a' , <br />Applicat/iion_ �J_- �_? _-------I-'-- <br />Entered -------- 6 .7- 3---------' 191._Q <br />Book z _ ------------ <br />By----------------✓�� <br />LotNo. ----------------------------- ____ ..' <br />BlockNo --------------------------------- <br />Addition --------------------------------- <br />Distance A ----------- Ft....-._-. <br />u <br />C <br />W - W <br />0 1 D.. Ft .. .............In. <br />_. <br />u � E <br />E ; <br />2 , Size of Connection ... .. .................. Z <br />Date of Installation -------------- -------- <br />Property <__-..__C_._.._ a -------- Dl..c..... 9 Line .___...._._ <br />A <br />Ca <br />BTop OOCK <br />Curb — Line <br />(A) <br />V <br />Water Main <br />Name of Street------------------------------ <br />